Coding/CDI/Physician Office Integrity Auditor/EducatorFull-time, 80 hours per pay period, Days Position Summary:
Performs or reviews complex level internal coding auditing work for Inpatient/Outpatient and/or physician office accounts. Work involves leading or conducting coding and compliance audit projects for Covenant Health entities as they relate to coding, documentation and billing compliance. Also provides consulting services to the organization’s management and staff and may coordinate requested coding investigations. Responsible for education and training for all Covenant coders, CDI, and/or physician office staff. Serves as a resource to coders, CDI staff, Quality and Case Managers, Decision Support and physician office personnel regarding coding questions. Serves on the ICD-10 Steering Committee for planning and implementation. Responsible for educating coders, CDI staff and assist with physician education for ICD-10. Maintains all organizational and professional ethical standards and works with Covenant leaders to coach, mentor, and train Coding/CDI and physician office staff. Works independently with limited supervision with significant latitude for initiative and independent judgment. Reports to the Corporate Coding Manager or CFO of CMG as appropriate. Minimum Education:
None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority Minimum Experience:
Three (3) to five (5) years experience in acute care coding, both inpatient and out-patient and/or physician practice. Good working knowledge of healthcare billing, Medicare/Medicaid billing guidelines, and other Third Party Payor rules and Regulations. Experience in problem solving, analytical reviews, Must be knowledgeable in use of PC’s, Windows, Excel and Word Processing; Must have good public relations, educational skills. Licensure Requirements:
Certification in field of study. The following certifications are acceptable-RHIT/RHIA/AAPC, CPC, or CPMA.
Location/Region: Knoxville, TN (US)